OrganizationActive
Pediatric Dental Specialty Associates Ltd
NPI 1992863500 · Pediatric Dentistry · New Lenox, IL
Pediatric Dental Specialty Associates Ltd is a Pediatric Dentistry organization in New Lenox, IL (NPI 1992863500).
Provider details
- NPI number
- 1992863500
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Genearnd Algenio, President(815) 462-3030
Practice location
315 Alana Dr
New Lenox, IL 60451-1766
Phone: (815) 462-3030
Fax: (815) 462-4742
Street-level locationGet directions
Mailing address
315 Alana Dr
New Lenox, IL 60451-1766
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.